ATI RN
ATI Med Surg Exam 10 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse should monitor the client for which of the following electrolyte imbalances?
Correct Answer: D
Rationale: Furosemide can cause an increase in uric acid levels by reducing its excretion through the kidneys.
Question 2 of 5
A nurse is reviewing the arterial blood gas values for a client. The pH is 7.32, PaCO2 48 mm Hg and the HCO3 is 23 mEq/L. The nurse should recognize that these findings indicate which of the following acid base balances?
Correct Answer: D
Rationale: The pH is below the normal range (7.35-7.45), indicating acidosis. The PaCO2 is elevated, indicating respiratory acidosis, as an increase in PaCO2 leads to an increase in carbonic acid and a decrease in pH.
Question 3 of 5
A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Hypocalcemia (low calcium levels) can lead to neuromuscular irritability, which may manifest as muscle tremors or spasms.
Question 4 of 5
A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Weighing the client daily is important to monitor for potential fluid loss, dehydration, or weight changes related to Addison's disease and Addisonian crisis.
Question 5 of 5
Which of the following chronic conditions should the nurse identify as risk factors for developing kidney disease?
Correct Answer: B,C,E
Rationale: Hypertension, diabetes, and obesity are significant risk factors for kidney disease. Hypertension damages renal blood vessels, diabetes leads to diabetic nephropathy, and obesity increases the risk through associated conditions like hypertension and diabetes.